电话回访对农村地区糖尿病患者的延续性护理及医疗状况调查研究

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

杨秋¹ 

关键词: 电话回访;    糖尿病;    延续性护理;    低血糖;    农村地区;    自我护理;   

DOI  :  10.11997/nitcwm.201809002

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To provide continuous nursing based on telephone follow-up for diabetic patients in rural areas of Nanchong, in order to understand the medical service status and carry out health education. Methods 〓A three-month follow-up by telephone was conducted to 523 diabetic patients in rural areas of Nanchong. The change of blood glucose level, incidence of complications and self-care ability of patients were observed after follow-up. Results 〓After three-month follow-up by telephone, there was a decreased level of fasting blood glucose, 2 h postprandial blood glucose and hemoglobin A1c among patients(P<0.05). There was a decreased incidence of hypoglycemia, ketoacidosis, foot lesions and diabetic oculopathy after follow-up, the overall complication rate dropped from 15.30%(80/523)before implementation of telephone follow-up to 4.59%(24/523)after implementation of telephone follow-up(χ2=33.480,P<0.05). Patients achieved higher scores in assessment of blood sugar monitoring, treatment on glucose abnormalities, medication adherence, reasonable diet and suitable exercise after follow-up compared with those of patients before follow-up(P<0.05). Conclusion 〓Based on a three-month follow-up by telephone, continuous services were conducted on diabetic patients in rural areas and patients' medical status were continuously monitored. The continuous nursing based on telephone follow-up is effective for diabetic patients to control blood glucose level and reduce the risk of diabetic complications.

【 授权许可】

CC BY-NC